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Is a School-Based Asthma Treatment Program's Effect Modified by Secondhand Smoke Exposure?

Arch Pediatr Adolesc Med. 2004;158:469-471.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Halterman et al¹ present a randomized controlled trial (RCT) of a school-based asthma treatment program in this issue of the ARCHIVES. The authors enrolled 184 children with asthma 3 to 7 years of age from 1 school district. Children were identified via a school health form and were eligible for enrollment if at least mild persistent asthma was confirmed and the primary care physician (PCP) agreed with the need for daily inhaled steroids. After obtaining consent from the family and PCP and completing a baseline assessment, eligible children were randomized to the school-based intervention or control group. In both groups, parents and PCPs were notified of the child's asthma severity. On weekdays, school nurses administered study-provided inhaled steroids to the intervention group children; a second steroid inhaler was given to families for home use on nonschool days. Inhaled steroids were recommended but neither provided nor directly administered . . . [Full Text of this Article]

VALIDITY

Randomization

Accounting for Subjects

Blinding

Equal Treatment of Groups, Aside From the Intervention

TREATMENT EFFECT

GENERALIZABILITY

SUBGROUP ANALYSIS
Source of Comparisons

Hypothesized Subgroup Effects

Effect Size

Indirect Evidence

CONCLUSIONS
David G. Bundy, MD, MPH; Molly Curtin Berkoff, MD, MPH; Kristin E. Ito, MD; Marjorie S. Rosenthal, MD; Morris Weinberger, PhD
Chapel Hill, NC

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RELATED ARTICLE

Benefits of a School-Based Asthma Treatment Program in the Absence of Secondhand Smoke Exposure: Results of a Randomized Clinical Trial
Jill S. Halterman, Peter G. Szilagyi, H. Lorrie Yoos, Kelly M. Conn, Jeffrey M. Kaczorowski, Robert J. Holzhauer, Sherri C. Lauver, Tia L. Neely, Patrick M. Callahan, and Kenneth M. McConnochie
Arch Pediatr Adolesc Med. 2004;158(5):460-467.
ABSTRACT | FULL TEXT